CPT 70450 Radiology

How Much Does CT head/brain without contrast Cost?

CT head/brain without contrast (CPT 70450) costs $65 at Medicare rates. Hospital outpatient rate: $107.

Cost Comparison by Payer

How much CT head/brain without contrast costs across different settings and payers

Medicare
Facility rate
$65
Hospital Outpatient
OPPS rate
$107
Surgery Center
ASC rate
$57
Medicare (Facility)
$65
CMS PFS 2026 national rate
Medicare (Office/Clinic)
$195
Non-facility setting
Hospital Outpatient
$107
OPPS rate
Surgery Center (ASC)
$57
Ambulatory surgery center

CT head/brain without contrast Cost by Location

Medicare-adjusted rates across CMS localities

Location Medicare Rate Est. Commercial
AK — ALASKA $125 $163 — $250
AK — ALASKA* $83 $125 — $208
AL — ALABAMA $97 $126 — $193
AR — ARKANSAS $95 $124 — $190
AZ — ARIZONA $104 $136 — $209
AZ — Phoenix $67 $100 — $167
CA — BAKERSFIELD $114 $149 — $228
CA — CHICO $114 $148 — $228
CA — EL CENTRO $114 $148 — $228
CA — FRESNO $114 $148 — $228
CA — HANFORD-CORCORAN $114 $148 — $228
CA — LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) $122 $158 — $243
CA — Los Angeles $75 $113 — $188
CA — MADERA $114 $148 — $228
CA — MERCED $114 $148 — $228
CA — MODESTO $114 $148 — $228
CA — NAPA $132 $172 — $265
CA — OXNARD-THOUSAND OAKS-VENTURA $121 $158 — $242
CA — REDDING $114 $148 — $228
CA — REST OF CALIFORNIA $114 $148 — $228
CA — RIVERSIDE-SAN BERNARDINO-ONTARIO $115 $149 — $229
CA — SACRAMENTO-ROSEVILLE-FOLSOM $120 $156 — $239
CA — SALINAS $119 $155 — $239
CA — SAN DIEGO-CHULA VISTA-CARLSBAD $122 $159 — $244
CA — SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) $140 $182 — $281

How to Reduce Your Cost for CT head/brain without contrast

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    For this procedure, the office rate ($195) differs from the facility rate ($65). Ask if it can be done in an office setting.

  • 3
    Shop around — costs vary significantly

    Medicare rates for this procedure range from $58 to $143 depending on location. Commercial rates vary even more.

  • 4
    Check ambulatory surgery centers (ASCs)

    This procedure is available at ASCs for $57, compared to $107 at hospital outpatient departments. ASCs often offer lower costs with comparable quality.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

0.85
Work RVU
1.10
Practice Expense RVU
0.07
Malpractice RVU

Payment = Total RVU () x CF ($33.40) = N/A

Frequently Asked Questions

How much does CT head/brain without contrast cost?

The Medicare facility rate for CT head/brain without contrast is $65. In a hospital outpatient setting, the rate is $107. At an ambulatory surgery center, the rate is $57. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does CT head/brain without contrast cost without insurance?

Without insurance, the cost of CT head/brain without contrast can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover CT head/brain without contrast?

Most commercial health insurance plans and Medicare cover CT head/brain without contrast when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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